Fillable APPLICATION OVERVIEW Grant Defined The Sheriffs Office Community (Clark County Board of Commission)

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APPLICATION OVERVIEW Grant Defined The Sheriffs Office Community (Clark County Board of Commission)

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APPLICATION OVERVIEW
Grant Defined
The Sheriff’s Office Community Grant is supported through the Law Enforcement Trust Fund (LETF). Pursuant to
Ohio Revised Code, a percentage of the LETF will be used for Community Preventive Education Programs (CPEP’s).
These programs must be supportive of and consistent with our law enforcement efforts, policies and/or
initiatives, and align with our Vision and Mission. Applicants must be a 501(c)3 organization and provide services
in Clark County, Ohio. The program need to address one or more of the following Areas of Emphasis:
• Dru
g Abuse Education, Prevention, or Treatment
• Crime Prevention or Education
• Educational / Preventative Services for Victims of Crime
Clark County Sheriff’s Office
Mission:
Each member of the Clark County Sheriff’s Office will provide services with compassion, impartially enforce
the laws, preserve the peace, reduce the fear of crime and develop working partnerships in our community
to build trust.
Vision:
The Clark County Sheriff’s Office strives to become a leading law enforcement organization that utilizes the
most efficient and progressive practices, whose staff demonstrates the highest standards of performance and
accountability, while fostering public confidence as a community partner.
Core Values:
Respect, Integrity, Professionalism, Service, Teamwork and Excellence
Grant Application Due Date: Applications are due by 5:00pm on January 31, 2020. Completed applications must
be sent electronically to wholt@clarkcountyohio.gov.
Grant Allocation & Reporting Process
• The one-time grant will be provided in one single payment along with notification of the award.
• All applicants will receive notification by Friday, February 14, 2020. Awards will be sent upon the
recipient submitting the award acceptance. Award acceptance forms must be sent electronically to
wholt@clarkcountyohio.gov
no later Friday, February 28, 2020.
• Only expenses incurred within the grant period are eligible to be paid with 2020 funds.
• Status Reports must be submitted within 6 months and 12 months following grant payment.
The Sheriff’s Office will include a reporting form in the award acceptance packet. The Mid-Year
Report is due September 14, 2020 (covering 3/1/20 to 8/31/20). The Final Report is due March
19, 2021 (covering 9/1/20 to 2/28/21). These reports will document both fiscal and programmatic
activity as it pertains to the grant contract.
• The Sheriff’s Office reserves the right not to award any grants if applications do not align with the
CCSO Areas of Emphasis, outlined above, nor if funds are not available.
• Grant requests are not to exceed $5,000.
• Unallowable costs include: construction, food and beverage, prizes and awards, telephone and
internet costs, and other overhead costs are not eligible for funding under this grant.
Questions
Please direct any questions to Wendy Holt, Grants & Programs Manager.
Phone: 937-521-2054 or Email: wholt@clarkcountyohio.gov
APPLICATION
Clark County, Ohio- Sheriff’s Office Trust Fund Community Grant
Please complete the following:
Number of volunteers:
• Length of time providing service in Clark County:
1. Organization Name:
• Address:
• Located In Clark County:
• Phone:
• Website:
• Mission:
• Date organization was founded:
• Number of employees:
• Annual Budget:
• Briefly describe your services:
2. Name of Program to be Funded:
New Program Continuing Program -Year Established:
3. List which Area(s) of Emphasis the grant will focus on and how it aligns
with the CCSO efforts.
4. Describe the community need this
grant
w
ill suppor
t,
as
well
as
the
intended
outcome.
5. #
of
clients currently served by
this program:
#of additional clients if awarded:
Agency Overview
Grant Use
Yes
No
AND 501(c)(3); Tax-Exempt Organization
No
Yes
Drug Abuse Education
Drug Abuse Prevention
Drug Abuse Treatment
Crime Pevention
Crime Education
Educational Services for Victims of Crime
Preventative Services for Victims of Crime
9. List the total budget amount for the specific program/goal, as well as the amount being requested
from this grant (request not to exceed $5,000).
SOURCE
AMOUNT
6. List the activities/deliverables that will be accomplished with support from this grant.
7. Provide general time frame for program/activities, with completion dates, if applicable.
GOAL / ACTIVITY
TIMELINE
8. Explain how success will be defined and measured.
10. Describe how the grant dollars will be used.
Contact Information
Name & Title of Primary Contact
:
Phone Number of Primary Contact:
E- mail:
Signature of Agency Executive/Principal
Print Name of Agency Executive/Principal
Grant Submission
** Please save a copy of your completed application, then click on the send button
to submit your completed application. A confirmation email will automatically be
sent to you which confirms receipt of your application:
11. Describe the qualifications of the person(s) administering the program:
12. Describe your plan for financial sustainability and continuity if funds are awarded:
• Applications must be submitted electronically: wholt@clarkcountyohio.gov
• Deadline for the 2020
Grant Application: January 31, 2020
• Incomplete applications and those received after the deadline will be disqualified.
• Within 24
hours of application submission, applicants will receive an e-mail acknowledgement that the
application has been received.
• All decisions made by the Sheriff and the Sheriff’s Office Review Panel are final.
• Your signature below indicates the information provided in this application is accurate to the best of your
knowledge and that you authorize the Sheriff’s Office to promote your agency via the news and social
media if grant is awarded.
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APPLICATION OVERVIEW Grant Defined The Sheriffs Office Community (Clark County Board of Commission)

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Completed 5 August 2020

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